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DR. THOMAS MICHAEL HARDIN D.O.
NPI 1174542955
Pediatrics in Orange Park, FL

Active since July 19, 2006PECOS Enrolled
1555 KINGSLEY AVE, SUITE 601, ORANGE PARK, FL 32073(904) 264-0264(904) 278-0437 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2022, Aug 7, 2017 (2 updates tracked since 2017).

About Dr. Thomas Michael Hardin D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS MICHAEL HARDIN D.O. (NPI 1174542955) is an individual pediatrics provider in Orange Park, Florida, licensed in Florida (OS4373) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174542955
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THOMAS MICHAEL HARDINCredential: D.O.
Location Address1555 KINGSLEY AVE, SUITE 601Orange Park, FL 32073-4560
Mailing Address705 Wells Rd Ste 300Orange Park, FL 32073-2982 · (904) 282-6331 · Fax (904) 619-1080
Phone(904) 264-0264
Fax(904) 278-0437
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1174542955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · OS4373
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1555 KINGSLEY AVE, Orange Park, FL 32073
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Other Identifiers 1

Medicaid040811500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Michael Hardin D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
96%191 patients4/55-star benchmark: 100%
Childhood Immunization Status
5%130 patients
Chlamydia Screening for Women
30%60 patients
Closing the Referral Loop: Receipt of Specialist Report
32%497 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
97%33 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
54%357 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACK E COHEN DO
Orthopaedic Surgery
1555 KINGSLEY AVE, STE 201
ORANGE PARK, FL 32073
Clay County (904) 278-0432
JOHN D BRINKMAN M.D.
Surgery
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Clay County (904) 278-5088
DR. MICHAEL S. GILLIGAN M.D.
Surgery
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Clay County (904) 278-5088
DR. DEBBIE A. BERLIN M.D.
Surgery
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Clay County (904) 278-5088
INTERNAL MEDICINE ASSOCIATES OF NORTHEAST FLORIDA PA
Internal Medicine
1555 KINGSLEY AVE, SUITE 604
ORANGE PARK, FL 32073
Clay County (904) 541-0670
JOAN DUNSTONE O LEARY MD
Dermatology
1555 KINGSLEY AVE, SUITE 401
ORANGE PARK, FL 32073
Clay County (904) 278-3100
EMANUEL MARTINEZ MD AND ASSOCIATES
Psychiatry & Neurology (Psychiatry)
1555 KINGSLEY AVE, SUITE 101
ORANGE PARK, FL 32073
Clay County (904) 278-4999
JOAN D OLEARY MD PL
Dermatology
1555 KINGSLEY AVE, SUITE 401
ORANGE PARK, FL 32073
Clay County (904) 278-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Hardin's NPI number?

The NPI number for Thomas Hardin is 1174542955. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Thomas Hardin located?

Thomas Hardin practices at 1555 Kingsley Ave Suite 601, Orange Park, FL 32073. The listed phone number is (904) 264-0264.

What is Thomas Hardin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Hardin enrolled in Medicare?

Yes. Thomas Hardin is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Hardin accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Thomas Hardin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Hardin was last updated on August 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.